Claim total
$1,460.72
base $127.17 · payer covered $1,168.57
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2012-08-06
- Stop
- 2012-08-06
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-a135-2fd4ca1a690e